Register to Play

To register as a player or to register your player, please fill out the form below. If you prefer to fill out registration on paper, please click to download the form here.

When you register with the Washington Ice Dogs you will automatically be registered with ASHA. Once your Ice Dogs registration is processed, you will receive email instructions to complete the player's USAH registration.

If you have any questions, please contact Program Director Melissa Schaab at washingtonicedogs@gmail.com.

Player Name *

Player Name

First Name

Last Name

Player Date of Birth *

Player Date of Birth

MM

DD

YYYY

Player Skill Level

Beginner

Intermediate

Advanced

Primary Contact *

Primary Contact

The primary caregiver/contact for the player.

First Name

Last Name

Primary Contact Email *

Primary Contact Phone *

Primary Contact Phone

(###)

###

####

Other Contact Name

Other Contact Name

First Name

Last Name

Other Contact Email

Other Contact Phone

Other Contact Phone

(###)

###

####

Other Contact Name

Other Contact Name

First Name

Last Name

Other Contact Email

Other Contact Phone

Other Contact Phone

(###)

###

####

Medical History *

Include disability, allergies, and relevant information that will help coaches plan for your player’s needs. If the player has Down syndrome please include date and result of x-ray for Altanto-Axial Dislocation. Also include emergency medications (inhaler, EpiPen, etc.)

Insurance *

Please provide your insurance provider and policy number.

Permission to Photograph *

I, hereby, give permission to have my child photographed or videotaped (with facial and/or name identification) during the current hockey season games or practices and to have these photos or videos available for public display, distribution or posted on our web site. Please note that photos and videos with facial and/or name identification may be distributed through local/regional news organizations for purposes of promoting Washington Ice Dogs Hockey. Players who do not give permission to be photographed may inadvertently appear in group or landscape photos but will not be identified by name.

Yes

No

Terms of Use *

I have read, understand and accept the Washington Ice Dogs Terms of Use, Privacy Statement and Children’s Privacy Statement governing use of the Washington Ice Dogs websites. (This must be changed to Washington Ice Dogs and Terms and Privacy Statements must be changed also.)
I confirm that I am 13 years of age or older.
The Washingtion Ice Dogs website is password protected for online registration of personal information submissions and updates. Only individuals associated with the Washington Ice Dogs who have a need to access such personal information to carry out business functions of the Washington Ice Dogs are allowed access to such personal information. Our security practices are reviewed periodically and revised as required. We use a combination of security techniques, procedures and organizational measures and restrictions to help protect personal information from unauthorized access, use or disclosure. While we strive to protect such personal information, as noted on the TERMS OF USE policy, the Washington Ice Dogs does not guarantee the security of the information that you transmit to us.
By completing and submitting this Consent Form, as part of the Online Registration Form, to the Washington Ice Dogs website, www.washingtonicedogs.org, you acknowledge that (i) you have read and agree to the TERMS OF USE policy, the Washington Ice Dogs Children’s Privacy Statement, the Washington Ice Dogs Privacy Statement and (ii) you are registering your child online to participate on the Washington Ice Dogs, and, as such, are authorizing the Washington Ice Dogs to accept, retain, access and use player (and parent) personal information as a member of the Washington Ice Dogs consistent with the Washington Ice Dogs privacy and TERMS OF USE policies noted above.

Washington Ice Dogs

The Washington Ice Dogs were founded in 1999 to give children and young adults with developmental disabilities the opportunity to play ice hockey. With the encouragement and support of our friends at the Gardens Ice House in Laurel, MD, we skate every Saturday morning from September through March.